L-carnitine and COH in PCOS Women Undergoing IVF/ICSI Cycles

  • End date
    Oct 28, 2022
  • participants needed
  • sponsor
    Royan Institute
Updated on 28 January 2021


The aim of this study was to evaluate the effect of oral L-carnitine supplementation during controlled ovarian stimulation (COS) in patients with polycystic ovary syndrome (PCOS) in a double-blind randomized clinical trial. The eligible patients with PCOS diagnosis (on the basis of Rotterdam criteria) who referred to Royan Research Institute for IVF / ICSI treatment cycles will be evaluated.


The study protocol was approved by the Institutional Review Board and Ethics Committee of Royan institute. Prior to the onset of ovarian stimulation, patients will be allocated randomly into two groups according to block randomization method. The methodologist will give the doctor a code according to the randomization list, which corresponds to the code on the drug's box, and the drug box will be delivered to the patient. The COS procedure in all the study participate will be same by using a flexible regimen of GnRH antagonist with E2 priming. In the experimental group, the women received 3 tablet of L-carnitine daily (L-carnitine tablet 1000 mg, Karen Pharmaceutical Company, Iran) from day 2 of the previous menstrual cycle until pregnancy test day. The patients in control group will receive 3 placebo tablets for 8 weeks. All the placebo tablets were produced by Karen company (Tehran, Iran), which is approved by the Food and Drug Administration of Iran. The appearance of the placebo was indistinguishable in color, shape, size, and smell from L-carnitine tablets. Ovarian stimulation will start with a maximum dose of 150 units of rFSH (Gonal -F: Serono Laboratories Ltd, Geneva, Switzerlan), from the second or third day of the spontaneous or discontinued progesterone menstrual cycle and the monitoring transvaginal ultrasound was performed and then if the follicle is observed, start with 13 injections of GnRH antagonist (Cetrotide, 0.25 mg cetrorelix acetate, Serono, Inc) and will be continued until the oocyte triggering day. From the seventh day of the cycle, the dose of rFSH will be determined according to the rate of ovarian response by vaginal ultrasonography two days in advance. If you see at least two follicles 18 mm in size or more, the final stimulation of oocyte maturation will be done and 34- 36 hour after that the ovum pickup will be conducted. Subsequently ICSI or IVF will be done with standard procedure. The outcome evaluators were also blinded to the random allocation process and type of treatment.The primary and secondary outcomes were compared between the two groups using appropriate statistical tests.

Condition OVARIAN CYST, Ovarian Cysts, Polycystic Ovary Syndrome, Polycystic Ovarian Syndrome, Ovarian Cysts, Polycystic Ovarian Syndrome, pcos, polycystic ovary disease
Treatment L-carnitine 1000 Mg
Clinical Study IdentifierNCT04672720
SponsorRoyan Institute
Last Modified on28 January 2021


Yes No Not Sure

Inclusion Criteria

Patients between 20 to 37 years old, presenting with primary or secondary
infertility following regular intercourse for at least 1 year and diagnosed
with polycystic ovary syndrome (PCOS) according to Rotterdam's criteria who
had received two to three failures of IUI cycle therapy were included. The
diagnosis was based on a complete history taking, physical examination and a
paper documented complete infertility work-up within the previous 6 months

Exclusion Criteria

Patients diagnosed with hyperprolactinemia, diabetes mellitus, epilepsy
Patients treated with special diet, medication supplement (ovuboost), metformin before or during ovarian stimulation
History of pelvic surgery on ovaries and uterus
Presence of submucosal and intramural fibroids larger than 5 cm or the presence of uterine polyps and congenital uterine malformations
The cause of severe male infertility (TESE, PESA)
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